healthcosts.net
Screening Colonoscopy (average risk) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,440.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$2,400.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$432.00 with Aetna vs $3,640.69 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $432.00 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $626.45 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $813.49 | ↓ -44% |
| Aetna | Neighborhood Network | $864.00 | ↓ -40% |
| UPMC Health Plan | Partners/Select | $891.64 | ↓ -38% |
| Aetna of PA | Medicare | $912.67 | ↓ -37% |
| Aetna | EBR FI | $936.00 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $938.66 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $938.75 | ↓ -35% |
| United Healthcare | Medicare | $938.75 | ↓ -35% |
| Aetna | Home Depot Employer Group | $940.80 | ↓ -35% |
| Aetna | Medicare | $956.13 | ↓ -34% |
| Aetna | NBR ASO/FI | $960.00 | ↓ -33% |
| Cigna | New Business ASO | $960.00 | ↓ -33% |
| Cigna | Commercial | $960.00 | ↓ -33% |
| Aetna | EBR ASO | $960.00 | ↓ -33% |
| InterGroup | PPO | $1,200.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,320.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,320.00 | ↓ -8% |
| Coventry/First Health | Commercial | $1,680.00 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,812.38 | ↑ +26% |
| Preferred Healthcare System | PPO | $1,920.00 | ↑ +33% |
| Private Health Care Systems | PPO | $2,040.00 | ↑ +42% |
| Humana | Commercial | $2,040.00 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,101.32 | ↑ +46% |
| UPMC Health Plan | CHIP | $2,182.77 | ↑ +52% |
| Multiplan | PPO | $2,208.00 | ↑ +53% |
| Highmark BCBS of PA | Managed Care | $2,427.12 | ↑ +69% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,814.14 | ↑ +95% |
| UPMC Health Plan | Commercial | $3,372.03 | ↑ +134% |
| Highmark BCBS of PA | UPMC Emergent | $3,640.69 | ↑ +153% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Screening Colonoscopy (average risk) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,800.00 | $626.45 – $2,550.00 |
| UPMC Presbyterian | Pittsburgh | $1,440.00 | $432.00 – $3,529.15 |
| UPMC Mercy | Pittsburgh | not published | $596.00 – $956.13 |
| UPMC St. Margaret | Pittsburgh | not published | $626.45 – $956.13 |
| UPMC East | Monroeville | $1,440.00 | $626.45 – $1,920.00 |
| UPMC Hamot | Erie | $1,440.00 | $360.00 – $1,680.00 |
| UPMC Bedford | Everett | $1,440.00 | $313.61 – $2,160.00 |
| UPMC Cole | Coudersport | $633.00 | $292.45 – $1,041.88 |